Knowledge and Practice of Complementary Medicine Amongst Public Primary Care Clinic Doctors in Kinta District, Perak
|
|
- Hortense Franklin
- 5 years ago
- Views:
Transcription
1 Knowledge and Practice of Complementary Medicine Amongst Public Primary Care Clinic Doctors in Kinta District, Perak I A Ismail, MBChB*, S C Chan, FRACGP** *Hospital Ipoh, Perak, **Department of Primary Care & Public Health, Perak College of Medicine, 3 Jalan Greentown, Ipoh, Perak Summary The knowledge and practice of doctors (n=40) towards complementary medicine (CM) in 16 health clinics in the Kinta District were assessed by questionnaire. Thirty-four (85%) responded. More than half felt that acupuncture (73.5%), homeopathy (59%) and herbal medicine (59%) were occasionally harmful. Forty-four percent felt manipulative therapy was frequently harmful. Relaxation technique (79%) and nutritional therapy (44%) were considered most frequently useful. 59% used some form of CM. There were no significant differences found in usage rates by gender, age group and exposure to CM during undergraduate training. Sixty-seven percent had encouraged patients to seek CM. Seventy-three percent perceived an increasing demand for CM. Eighty-eight percent were in favour of a hospital based CM referral center. Only 6% were trained in CM. Key Words: Knowledge and practice of complementary medicine,primary care clinic doctors Introduction Complementary medicine (CM) refers to a group of therapeutic and diagnostic disciplines that exist largely outside the institutions where conventional health care is taught and provided. CM is an increasing feature of healthcare practice 1. Studies suggest that between 30% and 50% of the adult population in industrialized nations like America, Europe and Australia use some form of CM to prevent or treat a variety of health related problems 2,3,4,5,6. Realizing the importance of recognizing CM, Malaysia's health minister announced in November 2000 the establishment of a council comprising 5 umbrella organizations representing Malay, Chinese and Indian traditional health systems, complementary therapies and homeopathy 7,8. There is evidence that doctors are responding to the increasing awareness in several ways, from being enthusiastic and interested to being mystified and critical 9,10. There is also evidence that the increasing public use of CM is paralleled by acceptance among family doctors 11. Some studies found that the practice of CM in general is greater among younger physicians but other studies found no difference in age 3,12,13,14. The practice of CM was more common among male physicians in 2 surveys, one other study found belief in CM greater among female physicians but 6 studies found no difference in practice and belief by gender 2,3,12,13,14. Meta analysis published in 1995 by Ernst et al 4 of 12 international surveys which assessed whether This article was accepted: 8 June 2003 Corresponding Author: Chan Sook Ching, Department of Primary Care & Public Health, Perak College of Medicine, 3 Jalan Greentown, Ipoh, Perak 4 Med J Malaysia Vol 59 No 1 March 2004
2 Knowledge and Practice of Complementary Medicine Amongst Public Primary Care Clinic Doctors physicians believed that CM is useful and/or effective found that, on average, physicians judged CM therapies to be moderately effective. Physicians must learn about CM practice and inquire about their patient's use of these practices 15. Approximately 7 of 10 patients using CM for a serious health problem do not tell their physician that they are using unconventional therapy 16. More than 50% of practicing physicians are willing to refer for CM practices such as biofeedback, hypnosis, acupuncture, diet and lifestyle therapies. However, few are willing to refer for homeopathy or spiritual healing or for herbal treatments and mega vitamins 3,15. The knowledge of the doctors in the light of the growing usage and awareness of CM by the public is important as this will enable the doctors to gain their patients' trust and increase patient-doctor understanding. It is of benefit to the patient and the doctor if the doctors could provide complementary therapies through their practice, provided these are evidence based and the doctors are well trained. Objective of the Study The objective was to assess the knowledge and practice of Kinta District public primary care clinics' doctors towards a range of CM as listed in Appendix 1 (modified from the ABC of Complementary Medicine by the BMJ 17 and a study done in Australia 11 ). Materials and Methods A list of doctors working in the public primary care clinics in the Kinta District was obtained from the Kinta Health Office, Batu Gajah. Doctors who were working in the health office (i.e. not seeing patients) were excluded from the study. A self administered questionnaire was devised and pretested on the Batu Gajah Hospital's Accident and Emergency doctors. The questionnaire was then given out to all the 40 doctors working in the 16 public primary care clinics in the Kinta District. A definition of the different categories of CM assessed (see Appendix 1) was given together with the questionnaire. The questionnaires were given out and collected by hand. They were checked and any problems or unanswered questions were remedied and filled in at time of collection. Questionnaires given out but not returned by the end of the second week were excluded. The main parameters assessed were doctors' knowledge based on opinion on the usefulness and harmfulness of CM therapies studied, the difference in the usage of CM among younger and older physicians and according to age, interest in training and opinions on whether CM should be made available for referral in the government hospitals. The practice of CM among the doctors in the clinical setting was not assessed as the study group were Ministry of Health doctors working with fixed budget and practice guidelines. Results Six doctors failed to return the questionnaires by the end of the second week and were excluded from the study, leaving 34 (85% response rate). Among the 34, there were 23 female doctors and 11 males with a mean age of 33 (minimum age was 26 years old and maximum age 51 years). Fifty two percent were Malay, 24% Chinese and 24% Indian. Out of the 34 doctors included in the study, 65% were from local universities and 35% studied overseas which included United Kingdom, Ireland, India and Japan. Thirty five percent of the doctors indicated that they were exposed/taught about complementary therapies during their undergraduate studies. The majority of the doctors (73%) perceived the demand by patients for complementary therapies as increasing in the last 1 year. Sixty one percent claimed that they specifically asked patients if they were using any form of complementary therapies when they came for consultations. However, 2 doctors commented that they would only ask the specific questions if the patient's history suggested usage of complementary therapies. Doctors' knowledge on the harmfulness of various complementary therapies are detailed in Table I. All the doctors thought that relaxation technique was seldom harmful. They did, however comment that their knowledge was not sufficient enough to give evidence based opinions on the harmfulness of complementary therapies studied. More than 50% thought that acupuncture, homeopathy and herbal medicine were Med J Malaysia Vol 59 No 1 March
3 occasionally harmful. A few commented that the harmfulness also depended on the complementary therapist. The opinions of the doctors on the usefulness of CM are listed in Table II. Most of the doctors thought that CM were either occasionally or frequently useful. However in manipulative therapy although 53% felt it was occasionally helpful, another 41% thought that it was seldom useful. Forty nine percent of the doctors used some form of CM. There was no significant difference found in usage rates by gender (male and female) or age group (between younger and older doctors). There was also no significant difference according to undergraduate training and exposure. The usage of CM among the doctors according to specific type of therapies are detailed in Table III. The low percentage of doctors using acupuncture and manipulative therapy might be due to the scarce availability of these therapies known to the doctors. The highest usage was for nutritional therapies (38%) followed by relaxation technique (29%). For the past 1 year, 82% of the doctors had patients enquiring or asking advice on complementary therapies. The percentage of doctors with patients enquiring or asking advice on various complementary therapies for the past 1 year is shown in Table IV. More than half (67%) of the doctors involved in the study had given at least one consultation encouraging patients to seek CM (see Table V). Only 2% had given consultation encouraging patients to seek herbal therapy. This could be related to their opinion on the harmfulness of herbal medicine as 79.5% of all the doctors involved thought that herbal medicine was occasionally to frequently harmful (refer Table I). Training in CM and interest in training of complementary therapies among the doctors are listed in Table VI. Training include self training such reading books on CM, attending seminars or symposium and proper classes conducted by complementary therapists. Most of the doctors were not trained in CM. However, up to 17% showed interest in training in specific forms of CM. Eighty eight percent of the doctors were in favour of having some form of complementary therapies available in the government hospitals to refer patients to. The most popular complementary therapies suggested were relaxation technique (56%), nutritional therapy (38%), massage therapy (29%), herbal medicine (18%), acupuncture (9%) and manipulative therapy (6%). The doctors also commented that if the complementary therapies were made available in government hospitals, they should be informed of their existence. The complementary therapies' efficacy, safety, effectiveness and correct usage backed by scientific based research should be given to the doctors. Table I: Doctors' knowledge on the harmfulness of complementary therapies (based on opinion) Harmful Frequently Occasionally Seldom Relaxation technique 0 (0%) 0 (0%) 34 (100%) Acupuncture 1 (3%) 25 (73.5%) 8 (23.5%) Manipulative therapy 15 (44%) 16 (47%) 3 (9%) Massage therapy 1 (3%) 10 (29%) 23 (68%) Herbal medicine 7 (20.5%) 20 (59%) 7 (20.5%) Nutritional therapy 1 (3%) 8 (23.5%) 25 (73.5%) Homeopathy 2 (6%) 20 (59%) 12 (35%) 6 Med J Malaysia Vol 59 No 1 March 2004
4 Knowledge and Practice of Complementary Medicine Amongst Public Primary Care Clinic Doctors Table II: Opinions of the doctors on the usefulness of complementary therapies Harmful Frequently Occasionally Seldom 1. Relaxation technique 26 (76%) 7 (21%) 1 (3%) 2. Acupuncture 2 (6%) 22 (65%) 10 (29%) 3. Manipulative therapy 2 (6%) 18 (53%) 14 (41%) 4. Massage therapy 10 (29%) 19 (56%) 5 (15%) 5. Herbal medicine 2 (6%) 22 (65%) 10 (29%) 6. Nutritional therapy 15 (44%) 15 (44%) 4 (12%) 7. Homeopathy 3 (9%) 20 (59%) 11 (32%) Table III: Usage of CM among the doctors according to specific type of therapies. % of users Relaxation technique 29 Acupuncture 0 Manipulative therapy 0 Massage therapy 21 Herbal medicine 18 Nutritional therapies 38 Homeopathy 6 Table IV: Percentage of doctors with patients enquiring or seeking advice on complementary therapies in the past 1 year % 1. Relaxation technique Acupuncture 2 3. Manipulative therapy 8 4. Massage therapy Herbal medicine Nutritional therapies Homeopathy 5 Table V: Consultations by the doctors (encouraging patients to seek complementary therapies) for the past 1 year % 1. Relaxation technique Acupuncture 0 3. Manipulative therapy 0 4. Massage therapy Herbal medicine 2 6. Nutritional therapies Homeopathy 1 Med J Malaysia Vol 59 No 1 March
5 Table VI: Training in and interest in training of complementary therapies among the doctors Had training (includes self-taught) Interest in training 1. Relaxation technique Acupuncture Manipulative therapy Massage therapy Herbal medicine Nutritional therapies Homeopathy 1 3 APPENDIX 1 Range of Complementary Therapies 1. Relaxation techniques e.g. meditation, hypnosis, prayer, Yoga, Tai Chi, Qigong etc. 2. Acupuncture Stimulation of special points on the body, usually by insertion of fine needles. 3. Manipulative therapy Chiropractic and osteopathy (therapies of the musculoskeletal system) Practitioners work with bones, muscles and connective tissue to treat abnormality of structure and function (Roots = bone setting); includes traditional bone healers/ bomoh patah. 4. Massage therapy e.g. Therapeutic massage Manipulation of the soft tissue of whole body areas to bring about generalized improvements in health Reflexology Massage of the area of foot corresponding to the organ/structure of the body. Aromatherapy Essential oil added to base massage oil (smell) e.g. lavender to aid sleep 5. Herbal medicine The use of plants for healing purposes, usually in raw form / raw processed e.g. pegaga, tongkat ali, ginseng, Chinese "cooling" herbs (ying) or "stimulating" herbs (yang), external application of herbs 6. Nutritional therapies e.g. nutritional supplements, minerals, honey etc, diet intervention 7. Homeopathy Treatment with diluted portions of homeopathic preparation ; "like should be cured with like" 8 Med J Malaysia Vol 59 No 1 March 2004
6 Knowledge and Practice of Complementary Medicine Amongst Public Primary Care Clinic Doctors Discussion This study provided the first overview on the attitude and practice of complementary medicine amongst the public primary care clinic doctors in the Kinta District, Perak. Even with a response rate of 85%, the small sample of 34 doctors did not allow for extensive statistical analysis. This was a limitation of this study. In future studies, more doctors from other districts / states should be included. Another limitation of the study was the grouping of CM into 7 major groups. The difficulty in designing research on CM is well recognized as stated in an article by Nahin, Richard L, Stephen E et al in the 20th January edition of the BMJ They stated that while taking into consideration the multimodality treatment regimens, research design is further confounded by the wide variation in how many forms of CM are practiced 18. Nutritional and herbal medicine also overlap in which more and more products 'herbal' in origin are now found packaged and sold as 'supplements'. There is even 'complementary diet' or food such as canned herbal drinks and cordials. What about those conventional drugs which were developed from plants? It is worrying that most complementary therapies on sale in Malaysia lacks evidence and scientific research as randomized controlled trials (Level 1 evidence) are hard to come by. The findings in the study could well be a stepping stone towards the understanding of the attitude and practice of CM amongst medical professionals in Malaysia. This is, no doubt an important issue in the light of the increasing recognition by the government and popularity amongst the public. Further research is urgently needed on the knowledge, attitude and practice of doctors working in the private sector as well as on a representative sample of the doctors working with the Ministry of Health in Malaysia. In view of the high percentage of doctors encouraging patients to seek CM (as found in this study), training courses on CM and studies that could provide evidence on the therapies are highly recommended. Acknowledgements The authors would like to thank the Director-General of the Ministry of Health for permission to publish this paper and the primary care clinic doctors in Kinta District who participated in this study. References 1. Zollman C, Vickers A. ABC of Complementary Medicine: What is complementary medicine? BMJ. 1999; 319(7211): Astin JA, Ariane BA, Kenneth R et al. A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Intern Med.1998; 158(21): Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998; 279: Ernst E, Resch KL, White AR. Complementary Medicine : what physicians think of it : a meta analysis. Arch Intern Med. 1995; 155: Himmel W, Schulte M, Kochen MM. Complementary medicine: are patients' expectations being met by their general practitioners? Br J Gen Pract. 1993; 43: MacLennan AH, Wilson DH, Taylor AW. Prevalence and cost of alternative medicine in Australia. Lancet. 1996; 347: Bodeker G. Lessons on integration from the developing world's experience [Education and debate], BMJ. 2001; 322(7279): Straits Times. Kuala Lumpur, Malaysia, Nov. 14, Owen DK, Lewith G Stephens CR, Can Doctors respond to patients' increasing interest in complementary and alternative medicine? BMJ. 2001; 322(7279): Med J Malaysia Vol 59 No 1 March
7 10. Wharton R, Lewith G. Complementary Medicine and the general practitioner. BMJ. 1986; 292: Marie V, Cohen MM, Kotsirilos V, Farish SJ. Complementary Therapies: have they become accepted in general practice? Med J Aust. 2000; 172: Verhoef MJ, Sutherland LR, Alternative Medicine and General Practitioners; opinions and behaviour. Can Fam Physician 1994; 41: Hadley CM. Complementary medicine and the General Practitioner: A survey of general practitioners in the Welington area. N Z Med J. 1988; 101: Marshall RJ, Gee R, Israel M, Neave D. The use of alternative therapies by Auckland general practitioners. N Z Med J. 1990; 103: Chez RA, Jonas WB, Crawford C. A survey of medical students' opinions about complementary and alternative medicine. Am J Obstet Gynaecol. 2001; 185(3): Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkin DR, Delbanco TL. Unconventional medicine in the United States: prevalence, costs and patterns of use. N Eng J M.1993; 328: Zollman C, Vickers A. ABC of complementary medicine. London: BMJ Publishing Nahin, Richard L, Straus, Stephen E. Research into complementary and alternative medicine: problems and potential. BMJ. 2001; 322(7279): Med J Malaysia Vol 59 No 1 March 2004
A Survey on Knowledge, Attitudes and Usage of Complementary and Alternative Medicine in Singapore by Hwee-Ling Koh, Hui-Ling Ng & Hsiao-Huei Teo
A Survey on Knowledge, Attitudes and Usage of Complementary and Alternative Medicine in Singapore by Hwee-Ling Koh, Hui-Ling Ng & Hsiao-Huei Teo Introduction Complementary and Alternative Medicine (CAM)
More informationmedicine (CAM): group of practices used Alternative medicine: group of practices used as an Integrative medicine: use of conventional medicine in
Chapter 17: Complementary and Alternative Medicine Approaches to Health Care Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products
More informationThe Use of Complementary and Alternative Medicine in Australia Charlie Changli Xue, Lin Zhang, Vivian Lin and David F. Story
The Use of Complementary and Alternative Medicine in Australia Charlie Changli Xue, Lin Zhang, Vivian Lin and David F. Story Despite apparent high usage of complementary and alterative medicine (CAM) and
More informationComplementary and Alternative Medicine
Complementary and Alternative Medicine Approaches to Health Care Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not
More informationComplementary therapies
Complementary therapies There is a lot more to managing epilepsy than just seizure control. A good quality of life is important, and this is where complementary therapies can be most effective. Complementary
More informationPhysicians' Attitudes Toward Complementary Or Alternative Medicine: A Regional Survey
Physicians' Attitudes Toward Complementary Or Alternative Medicine: A Regional Survey Brian M. Berman, MD, B. Krishna Singh, PhD, Lixing Lao, PhD, Betsy B. Singh, PhD, Kevin S. Ferentz, MD, and Susan M.
More informationComplementary, Alternative, or Integrative Health: What s In a Name?
Complementary, Alternative, or Integrative Health: What s In a Name? Complementary and alternative medicine, complementary medicine, alternative medicine, integrative medicine we have all seen these terms
More informationWhat does complementary medicine and alternative medicine mean?
What is CAM? Complementary and alternative medicine (CAM) is a term used to describe a diverse group of healing systems that are not presently considered to be part of mainstream medicine. The goal of
More informationComplementary Therapies
Complementary Therapies August 7, 2018 Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject Complementary Therapies Complementary/alternative/integrative
More informationSUMMARY INSTRUCTOR RESOURCES
TRANSITION GUIDE This transition guide serves to outline the updates and new content found in Synovitz and Larson s Consumer Health & Integrative Medicine: A Holistic View of Complementary and Alternative
More informationOccupational therapy and complementary and alternative medicine
OCCUPATIONAL THERAPY INTERNATIONAL Published online in Wiley InterScience (www.interscience.wiley.com).268 Editorial Occupational therapy and complementary and alternative medicine EMILY HALTIWANGER AND
More informationConsumers. Asthma. and Complementary Therapies. An evidence-based guide
Consumers 5 Asthma and Complementary Therapies An evidence-based guide Contents What is asthma? 1 What are complementary therapies? 2 Why should I consult a healthcare professional 3 about complementary
More informationKnowledge, Attitude and Practice of Complementary and Alternative Medicine (CAM) among Medical Practitioners
Original Reserch Paper Knowledge, Attitude and Practice of Complementary and Alternative Medicine (CAM) among Medical Practitioners Kong FH, Man LK, Shetty RS, Kamath VG ABSTRACT Background: Complementary
More informationPrimary Care Physicians Attitudes and Practices Regarding Complementary and Alternative Medicine
Primary Care Physicians Attitudes and Practices Regarding Complementary and Alternative Medicine Margot E. Kurtz, PhD Robert B. Nolan, DC, DO William J. Rittinger, DO Data were gathered from 423 osteopathic
More informationS/A 4071: Social/Cultural Aspects of Health and Illness: Class 29: Complementary & Alternative Medicine 2
S/A 4071: Social/Cultural Aspects of Health and Illness: Class 29: Complementary & Alternative Medicine 2 * Today we look at health care restructuring in light of alternative approaches to medicine. Health
More informationWHOLE HEALTH: CHANGE THE CONVERSATION
Advancing Skills in the Delivery of Personalized, Proactive, Patient-Driven Care Complementary Approaches in the VA- A Glossary of Therapies and Whole Health Resources for Learning More Clinical Tool This
More informationMalaysian Healthy Ageing Society
Organised by: Co-Sponsored: Malaysian Healthy Ageing Society Overview Of Complementary And Alternative Medicine Dr. Sivaneswaran Poobalasingam Director of Integrative Medicine TIL0303 Level 3 One IOI Square
More informationComplementary therapies for cancer patients and their carers
Complementary therapies for cancer patients and their carers What are complementary therapies? Complementary therapies are supportive therapies offered alongside medical treatments. Many people with cancer
More informationHong Huang School of Information, University of South Florida, Tampa, FL, USA. ABSTRACT
SOCIOECONOMIC STATUS, ATTITUDES ON USE OF HEALTH INFORMATION, PREVENTIVE BEHAVIORS, AND COMPLEMENTARY AND ALTERNATIVE MEDICAL THERAPIES: USING A U.S. NATIONAL REPRESENTATIVE SAMPLE Yiu Ming Chan Department
More informationCAM Dr Monem Alshok
CAM 31. 3. 2016 Dr Monem Alshok CAM CAM is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary
More informationAttitudes and knowledge of occupational therapy professionals in a multi-state survey on complementary and alternative medicine
The University of Toledo The University of Toledo Digital Repository Master s and Doctoral Projects Attitudes and knowledge of occupational therapy professionals in a multi-state survey on complementary
More informationCurriculum Planning: A Needs Assessment for Complementary and Alternative Medicine Education in Residency
190 March 2007 Family Medicine Curriculum Planning: A Needs Assessment for Complementary and Alternative Medicine Education in Residency Sarita H. Prajapati, MD, MPH; Ronald F. Kahn, MD; Tracy Stecker,
More informationARTICLE. Pediatricians Experience With and Attitudes Toward Complementary/Alternative Medicine
Pediatricians Experience With and Attitudes Toward Complementary/Alternative Medicine Anju Sikand, MD; Marilyn Laken, PhD ARTICLE Objective: To assess (1) pediatricians attitudes toward and practice of
More informationconventional and unconventional Medical Practice
Conventional and Unconventional Medical Practice Introduction Many people use unconventional (also referred to as alternative, complementary, integrative) therapies for health problems, but the extent
More informationThe growth and development of public interest in and use of
DOI 10. 5001/omj.2012.04 Public Knowledge, Attitude and Practice of Complementary and Alternative Medicine in Riyadh Region, Saudi Arabia Ahmed Tawfik Elolemy, Abdullah M.N. AlBedah Received: 21 Sept 2011
More informationAlternative Health. A New Look at an Old Way. A free report by:
Alternative Health A New Look at an Old Way of Life A free report by: http://natural-remediesinfo.com Table of Contents Introduction... 2 Concepts of Eastern Medicine... 2 Combining Alternative Methods
More informationComplementary & Alternative Medicine. Integrative Therapies:
Complementary & Alternative Medicine Integrative Therapies: By: Melanie Santos RNIII, BSN, OCN, CMSRN Salinas Valley Memorial Healthcare System Five Branches University Student : March 2019 WHAT IS CAM?
More informationCONVENTIONAL AND COMPLEMENTARY MEDICINE: SKILLS FOR THE HEALTH CARE CONSUMER. Chapter 20
CONVENTIONAL AND COMPLEMENTARY MEDICINE: SKILLS FOR THE HEALTH CARE CONSUMER Chapter 20 Self-Care: Managing Medical Problems Self Assessment Being a good observer Know when to see a physician See a Physician
More informationAn Introduction to Chiropractic
An Introduction to Chiropractic Chiropractic is a health care approach that focuses on the relationship between the body s structure mainly the spine and its functioning. Although practitioners may use
More informationHRSA Grant: D54HP Project Investigator: Carol Monson, DO, MS, FACOFP
Michigan State University College of Osteopathic Medicine Family and Community Medicine and Internal Medicine Division of Geriatrics www.com.msu.edu/fcm HRSA Grant: D54HP23284-05-00 Project Investigator:
More informationComplementary and Alternative Therapies
Complementary and Alternative Therapies Slide 1 1 Complementary and Alternative Therapies Complementary Therapies Therapies used in addition to conventional treatment recommended by the person s health
More informationComplementary and Alternative Medicine: Canadian Physiatrists Attitudes and Behavior
662 Complementary and Alternative Medicine: Canadian Physiatrists Attitudes and Behavior Gordon D. Ko, MD, David Berbrayer, MD ABSTRACT. Ko GD, Berbrayer D. Complementary and alternative medicine: Canadian
More informationPerceptions of complementary and alternative medicine amongst medical students in Singapore a survey
Perceptions of complementary and alternative medicine amongst s in Singapore a survey Angela SH Yeo, Jonathan CH Yeo, Colin Yeo, Chau Hung Lee, Lan Fern Lim, Tat Leang Lee Abstract Background In view of
More informationREVIEW ARTICLE. medicine (CAM), a subject that was covered extensively in the last issue
REVIEW ARTICLE A Review of the Incorporation of Complementary and Alternative Medicine by Mainstream Physicians John A. Astin, PhD; Ariane Marie, BA; Kenneth R. Pelletier, PhD; Erik Hansen; William L.
More informationOxford Cambridge and RSA
Oxford Cambridge and RSA Unit title: Complementary therapies Unit number: 23 Level: 5 Credit value: 15 Guided learning hours: 60 Unit reference number: H/601/1635 UNIT AIM AND PURPOSE Increasing numbers
More informationComplementary and alternative medicine (CAM): communicating with patients A fact sheet for health professionals
Unfortunately, there are people who falsely promote and provide unethical, fraudulent and potentially dangerous treatments for cancer. This fact sheet has been written to provide health professionals with
More informationComplementary Therapies (CTs): THE EMPEROR S NEW CLOTHES?
Complementary Therapies (CTs): THE EMPEROR S NEW CLOTHES? Edzard Ernst, Emeritus Professor, Uni Exeter PC2-2012 Cancer v1-1 The Emperor's New Clothes (1837) Two crooks promise the emperor new clothes which,
More informationChapter 11. Major Characteristics of CAM. Research. CAM Healing Methods. Complementary and Alternative Medicine (CAM) CAM Healing Methods (continued)
Chapter 11 Herbal and Alternative Therapies Complementary and Alternative Medicine (CAM) Considered outside mainstream health care Upper Saddle River, New Jersey 07458 All rights reserved. Major Characteristics
More informationfactfile Non-drug Approaches to Managing your Asthma
factfile Approaches to Managing your Asthma This factfile covers: Breathing and relaxation techniques Yoga Hypnosis Acupuncture Homeopathy Food avoidance and food supplements Herbal medicines Royal Jelly
More informationTraditional and Complementary Medicine
Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Sciences 170 ( 2015 ) 262 271 AcE-Bs2014Seoul Asian Conference on Environment-Behaviour Studies Chung-Ang University,
More informationComplementary & Integrative Medicine for Headaches
Complementary & Integrative Medicine for Headaches Rebecca Erwin Wells, MD, MPH Associate Professor, Neurology Associate Director of Clinical Research, Center for Integrative Medicine Wake Forest Baptist
More informationNational Policy on Traditional / Complementary Medicine, Malaysia Ministry of Health Malaysia August 2002
National Policy on Traditional / Complementary Medicine, Malaysia Ministry of Health Malaysia August 2002 Contents Page 1 Introduction 2 2. Policy Statement 3 3. Definitions 3 4. Vision for T/CM 5 5. Mission
More informationTHE NEW ZEALAND MEDICAL JOURNAL
THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association Inpatients use, understanding, and attitudes towards traditional, complementary and alternative therapies at a provincial
More informationAlternative Medicine is the use of. Complementary Medicine refers to a ALTERNATIVE MEDICINES AND CANCER THERAPY** Alternative Medicine
ALTERNATIVE MEDICINES AND CANCER THERAPY** Information compiled by Daniel J. Faber, Coordinator of the Warriors+one, a Breakout Group of the Prostate Cancer Canada Network- Ottawa, Ontario.** Alternative
More informationComplementary and alternative medicine (CAM) is
original research UTILIZATION, PATIENT SATISFACTION, AND COST IMPLICATIONS OF ACUPUNCTURE, MASSAGE, AND NATUROPATHIC MEDICINE OFFERED AS COVERED HEALTH BENEFITS: A COMPARISON OF TWO DELIVERY MODELS Darrell
More informationUse of Complementary and Alternative Medicines by Ambulatory Patients
ORIGINAL INVESTIGATION Use of Complementary and Alternative Medicines by Ambulatory Patients Susan M. Rhee, BS; Vinod K. Garg, MD; Charles O. Hershey, MD Background: Complementary and alternative medicines
More informationUse of Alternative Therapies in Older Outpatients in the United States and Japan: Prevalence, Reporting Patterns, and Perceived Effectiveness
Journal of Gerontology: MEDICAL SCIENCES 2001, Vol. 56A, No. 10, M650 M655 Copyright 2001 by The Gerontological Society of America Use of Alternative Therapies in Older Outpatients in the United States
More informationComplementar y and Alternative Therapies
Chapter 17 Complementar y and Alternative Therapies Complementary and Alternative Therapies Complementary Therapies Therapies used in addition to conventional treatment recommended by the person s health
More informationComplementary and Alternative Therapies Policy
Complementary and Alternative Therapies Policy 1 Version Control Version 2.0 Ratified by NHS Warwickshire North CCG Governing Body Date ratified 12 th January 2017 Name of originator/author Arden Clinical
More informationComplementary and Alternative Medicine (CAM)
Complementary and Alternative Medicine (CAM) Course Health Science Unit VIII Strategies for Prevention of Disease Essential Question What is Alternative and Complementary Medicine and why do we need to
More informationLeader of the natural medicine industry
Australian Traditional-Medicine Society Leader of the natural medicine industry NATURAL MEDICINE INFORMATION BOOKLET Natural medicine, a natural choice Who is the Australian Traditional-Medicine Society?
More informationUse of complementary and alternative medicine in pediatric otolaryngology patients attending a tertiary hospital in the UK
International Journal of Pediatric Otorhinolaryngology (2007) 71, 1725 1730 www.elsevier.com/locate/ijporl Use of complementary and alternative medicine in pediatric otolaryngology patients attending a
More informationThe Use of Complementary and Alternative Medicine in Chronic Pain Patients in Singapore: A Single-Centre Study
Original Article 133 The Use of Complementary and Alternative Medicine in Chronic Pain Patients in Singapore: A Single-Centre Study Michelle GE Tan, 1 MBBS, MMEd(Anaesthesia), FFPMANZCA, Ma Thin Mar Win,
More informationComplementary and Alternative Medicine (CAM) Regulation and Education for Health Care Professionals: A Comparison between the UK and Hong Kong
Complementary and Alternative Medicine (CAM) Regulation and Education for Health Care Professionals: A Comparison between the UK and Hong Kong Graeme Smith, Edinburgh Napier University Fowie Ng, The Hong
More informationIT HAS BEEN ESTIMATED that there are
Use and Referral Patterns for 22 Complementary and Alternative Medical Therapies by Members of the American College of Rheumatology Results of a National Survey ORIGINAL INVESTIGATION Brian M. Berman,
More informationAttitudes and Practices of Complementary and Alternative Medicine Among Adolescents in Saudi Arabia
Global Journal of Health Science; Vol. 7, No. 1; 2015 ISSN 1916-9736 E-ISSN 1916-9744 Published by Canadian Center of Science and Education Attitudes and Practices of Complementary and Alternative Medicine
More informationIntegrative and Holistic Health and Healthcare
Integrative and Holistic Health and Healthcare What does this mean for you in your role as a leader? October 12, 2017 Barbara Wingate, M.D., MSW Associate medical director Magellan Health: One company,
More informationUse of Mind Body Approaches among US Children Age 4-17 Years: Child Characteristics and Reported Reasons and Benefits for Use
Use of Mind Body Approaches among US Children Age 4-17 Years: Child Characteristics and Reported Reasons and Benefits for Use Data source: 2007 and 2012 National Health Interview Survey (NHIS) and Child
More informationTHE ROLE OF INTEGRATIVE HEALTH IN IBD CARE
THE ROLE OF INTEGRATIVE HEALTH IN IBD CARE Maria R. Mascarenhas February 2018 1 OBJECTIVES What is Integrative Health? How often is it used in patients in the US and in patients with IBD? What are the
More informationAWARENESS ON AYURVEDIC SYSTEM OF MEDICINE IN CHENNAI CITY
37 AWARENESS ON AYURVEDIC SYSTEM OF MEDICINE IN CHENNAI CITY * DR.MU.SUBRAHMANIAN;** DR.R.PRASANNA VENKATESAN *Professor & Head,Department of Management Studies, Jaya Engineering College, Chennai, Tamil
More informationUse of complementary treatment by those hospitalised with acute illness
Arch Dis Child 1999;81:133 137 133 Division of General Paediatrics, Starship Children s Health, Auckland Healthcare Limited, Department of Paediatrics, School of Medicine, University of Auckland, New Zealand
More informationChapter 17 2/19/2015. Complementary and Alternative Therapies. Complementary and Alternative Therapies. Complementary and Alternative Therapies cont d
Chapter 17 Complementary and Alternative Therapies All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Complementary and Alternative Therapies
More informationComplementary and alternative medicines (CAMs) are defined. Use of complementary and alternative medicine by patients with lysosomal storage diseases
ARTICLE Use of complementary and alternative medicine by patients with lysosomal storage diseases Manisha Balwani, MS, MD 1, Laura Fuerstman, MA 1, Robert J. Desnick, MD, PhD 1, Brian Buckley, BA 1, and
More informationComplementary and Alternative Health Approaches: What Really Works?
Complementary and Alternative Health Approaches: What Really Works? Jennifer Phelps, MS, MD Town of Ridgefield Health and Wellness Program Phelps, MD Integrative Medicine Jennifer Phelps, MS, MD Phelps,
More informationScope of Practice. How to practice within your modality in Australia. Endeavour College of Natural Health endeavour.edu.au
Scope of Practice How to practice within your modality in Australia Scope of Practice It is important to understand what the legal and ethical requirements are to practice within your modality. This also
More informationThe CAMELOT study: Complementary therapy use among people with type 2 diabetes or CVD
Rachel Canaway, Lenore Manderson, Vivian Lin The CAMELOT study: Complementary therapy use among people with type 2 diabetes or CVD 3 October 2012 www.camelot.monash.edu Care seeking, use of complementary
More informationThe Best Print and Electronic Resources
The Medical Library Association Guideto Finding Out About Complementary and Alternative Medicine The Best Print and Electronic Resources GREGORY A. CRAWFORD Neal-Schuman Publishers, Inc. New York London
More informationWellness along the Cancer Journey: American Indian, Alaska Native, and Complementary Healing
Wellness along the Cancer Journey: American Indian, Alaska Native, and Complementary Healing Alternative & Native Healing Rev. 10.8.15 Suppl. Page 1 WELLNESS ALONG THE CANCER JOURNEY: AMERICAN INDIAN,
More informationLecture Outline: Alternative Medicine
Lecture Outline: Alternative Medicine Introduction 1. Chiropractic & Osteopathy 2. Homeopathy 3. Deepak Chopra 4. CAM Profiles of Use 5. The Future of CAM Introduction: 1960s on - shift to alternative
More informationComplementary and Alternative Medicine in the context of HIV disease and HAART
Complementary and Alternative Medicine in the context of HIV disease and HAART Canadian AIDS Treatment Information Exchange, 2006 Devan Nambiar Treatment Information Educator CATIE Programs & Services
More informationINTEGRATIVE MEDICINE IN AMERICA
INTEGRATIVE MEDICINE IN AMERICA How Integrative Medicine Is Being Practiced in Clinical Centers Across the United States FEBRUARY 2012 Bonnie Horrigan Sheldon Lewis Donald Abrams, MD Constance Pechura,
More informationMEDICATIONS IN DISEASE TREATMENT. Diet, Medications, and Dietary Supplements. Over-the-Counter Drugs. Prescription Medications.
Diet, Medications, and Dietary Supplements Chapter 19 MEDICATIONS IN DISEASE TREATMENT Prescription Medications Usually given to treat serious conditions May cause side effects Physician evaluates the
More informationSupport for Kidney Cancer
Page 1 Fact sheet Introduction Our series of kidney cancer fact sheets have been developed to help you understand more about kidney cancer. This fact sheet provides support information for people affected
More informationUse of complementary or alternative medicine in a general population in Great Britain. Results from the National Omnibus survey
Journal of Public Health Vol. 26, No. 2, pp. 152 157 DOI: 10.1093/pubmed/fdh139 Printed in Great Britain Use of complementary or alternative medicine in a general population in Great Britain. Results from
More informationComplementary Therapy Policy - CLP011
Complementary Therapy Policy - CLP011 Page 1 of 14 Table of Contents Why we need this Policy... 3 What the Policy is trying to do... 3 Which stakeholders have been involved in the creation of this Policy...
More informationFeel Better During Breast Cancer Treatment
Feel Better During Breast Cancer Treatment Learn how complementary and integrative therapies can help 1-877-465-6636 www.komen.org Susan G. Komen does not provide medical advice. 2016 Susan G. Komen Item
More informationA Literature Review of Health Care Professional Attitudes Toward Complementary and Alternative Medicine
A Literature Review of Health Care Professional Attitudes Toward Complementary and Alternative Medicine Maida J. Sewitch, PhD, Monica Cepoiu, MD, MSc, Nicole Rigillo, MA, and Donald Sproule, MD Complementary
More informationTraditional Medicines Global Scenario
Traditional Medicines Global Scenario Muhammed A. Qayyum PTPMA Role of DRAP in Development of Traditional Medicine Industry in Pakistan Islamabad Feb 13, 2013 Absence of understanding does not warrant
More informationSPONSORSHIP OPPORTUNITIES
CONFERENCES SPONSORSHIP OPPORTUNITIES 2nd World Congress on Traditional and Complementary Medicine June 20-21, 2019 Dubai, UAE our DELEGATE is your CLIENT Our Programme 5+ Keynote Sessions World-renowned
More informationDietary supplement use in cancer patients: is there a link to psychosocial wellbeing?
Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing? Kathryn Taylor Clinical Psychologist St George s Cancer Care Centre St George s Cancer Care Centre Dietary supplements
More informationNonpharmacologic pain management
Nonpharmacologic pain management Kathy Davis, PhD, MSEd University of Kansas SoM; Dept of Pediatrics kdavis2@kumc.edu Disclosure I have no relevant financial relationships with the manufacturers(s) of
More informationNeeds Assessment: Utilization and interest in integrative medicine among primary care patients in a Family Medicine Clinic
Needs Assessment: Utilization and interest in integrative medicine among primary care patients in a Family Medicine Clinic SCH Family Medicine Research Symposium May 11, 2018 Drs. Linh Hoang, DO PGY2,
More informationOsteopathy and Massage Therapy: A comparison of their similarities and differences
Class of 2015 Osteopathy and Massage Therapy: A comparison of their similarities and differences Thesis Christina Prevost 6/1/2015 Introduction We live in a society far more open to different or alternative
More informationGoals. Definitions and terms. Definitions and terms. Who uses CAM? Definitions and terms 12/13/2017
A Practical Approach to Complementary and Alternative Medicine (CAM) Reid Blackwelder, M.D., FAAFP (blackwel@etsu.edu) Professor and Chair, Family Medicine Quillen College of Medicine, ETSU Goals People
More informationUsing Complementary Therapies in Everyday Life. By Margaret Thomson
Using Complementary Therapies in Everyday Life By Margaret Thomson Complementary vs Alternative Therapies Considerations Overview Attitude of some health professionals Some useful complementary therapy
More informationP HC. There is a growing interest in the use of complementary and alternative. The Use of. Complementary and. Alternative
ORIGINAL ARTICLE P HC Complementary and The Use of Alternative ABSTRACT Introduction: The purposes of this descriptive study were to: (a) describe the use of complementary and alternative medicine (CAM)
More informationIntegrative Medicine on Pain Management Is There Any
Integrative Medicine on Pain Management Is There Any Evidence? Lixing LAO, MB, PhD Professor and Director of School of Chinese Medicine, The University of Hong Kong Overview Acupuncture Trials on Pain
More informationCOMPLEMENTARY SELF-CARE STRATEGIES FOR HEALTHY AGING
In Generations: Journal of the American Society on Aging, Fall 1993 Self-care and Older Adults COMPLEMENTARY SELF-CARE STRATEGIES FOR HEALTHY AGING BY SONDRA BARRETT AS the population ages and the healthcare
More informationThe Use of Complementary and Alternative Medicine by Irish Pediatric Cancer Patients
COMPLEMENTARY AND ALTERNATIVE MEDICINE The Use of Complementary and Alternative Medicine by Irish Pediatric Cancer Patients Niamh O Connor, MB, BAO, BCh, MSc, Donna Graham, MB, BAO, BCh, Anne O Meara,
More informationKNOWLEDGE OF SAFETY AND HERB-DRUG INTERACTIONS AMONGST HIV+ INDIVIDUALS: A FOCUS GROUP STUDY
KNOWLEDGE OF SAFETY AND HERB-DRUG INTERACTIONS AMONGST HIV+ INDIVIDUALS: A FOCUS GROUP STUDY Blair Leonard, 1 Hal Huff, 2 Bill Merryweather, 3 Aileen Lim, 3 Edward Mills 2,4 1 Department of Medicine, University
More informationComplementary Therapies Services Evaluation
Complementary Therapies Services Evaluation March 2016 CONTENTS Contents 1 Introduction... 3 2 Background and aims... 4 3 Results... 5 4 Patient Experiance... 8 5 Discussion... 8 6 Summary... 12 7 Appendix
More informationComplementary and Alternative Therapies: Myths, Realities and Opportunities. Learning Objectives. CAM Use in Lymphoma Survivors
Complementary and Alternative Therapies: Myths, Realities and Opportunities Brent A. Bauer MD Director, Complementary and Integrative Medicine Program Mayo Clinic Department of Medicine Learning Objectives
More informationGender Differences in Attitudes regarding Complementary and Alternative Medicine among Health Care Profession Students in Japan
JJCAM. 2014 September; 11(2): 81 88 Original Article Gender Differences in Attitudes regarding Complementary and Alternative Medicine among Health Care Profession Students in Japan Tomoko TAKATA 1, Mari
More informationFatigue and Chronic Fatigue Syndrome
Fatigue and Chronic Fatigue Syndrome Introduction Nearly everyone struggles with being overtired or overworked from time to time. Temporary fatigue usually has a specific cause. It is easily treated. Chronic
More informationCharacteristics of Patients Referred for HIV Pre~ lumpur TestCounselling at Universe ty Hospital Kuala
Characteristics of Patients Referred for HIV Pre~ TestCounselling at Universe ty Hospital Kuala lumpur 1991.. 1994 B Yen, Dip Soc Work*, C L Teng, MMed**, M Y M Shajahan, MCGP** *Medical Social Work Unit,
More informationComplementary Therapies in Cancer Care
Exploring Complementary Therapies in Cancer Care Background and Applications for Little Red Door Cancer Agency Amy Phillips, C.H.E.S., MPH Candidate Indiana University Purdue University Indianapolis Fairbanks
More information??? Why should you care? 9/26/2016. Lee Anne Hellesto, NP Discover Health, LLC
Lee Anne Hellesto, NP Discover Health, LLC Brings me back to my roots Framework to help patients/clients Tools in my toolbox It is the way of the future Why should you care???? 1 (IM) is a healing-oriented
More informationMIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE
MIND-BODY PRACTICES TO MODULATE AUTONOMIC TONE FOR CHRONIC DISEASE MSA COALITION PATIENT & FAMILY CONFERENCE Landrew Sevel, PhD Osher Center for Integrative Medicine at Vanderbilt Department of Psychiatry
More informationPromotion of Regulatory Cooperation Perspectives from the International Regulatory Cooperation for Herbal Medicines (IRCH)
Promotion of Regulatory Cooperation Perspectives from the International Regulatory Cooperation for Herbal Medicines (IRCH) Presentation to ICDRA Members 16 September 2008 YEE Shen Kuan Division Director
More informationCNA Training Advisor. Complementary Therapies and Alternative Medicine. Program Prep
CNA Training Advisor Volume 25 Issue No. 2 Program Prep Program time Approximately 30 minutes Learning objectives Participants in this activity will be able to: Explain the difference between complementary
More information